| Some Dental Clinic | |
|
60 O St Nw Washington DC 20001 | |
| (202) 797-8806 | |
| (202) 265-0927 |
| Full Name | Some Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 60 O St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Ralph Boyd (PRESIDENT/CEO) |
| Authorized Official Contact | 2027978806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Some Dental Clinic 60 O St Nw Washington DC 20001-1259 Ph: (202) 797-8806 | Some Dental Clinic 60 O St Nw Washington DC 20001 Ph: (202) 797-8806 |
| NPI Number | 1811280472 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811280472 | NPI | - | NPPES |
| 067503200 | Medicaid | DC | |
| 057828700 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN1000602 (District Of Columbia) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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